CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Intermountain Health Logan Regional Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $3,471
  • Cash Discount Price: $3,719
  • vs. Medicare Baseline: 9.74x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Intermountain Health Logan Regional Hospital is $3,471. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,719. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 9.74x the Medicare baseline. Located in 1400 North 500 East, Logan, UT.
Cash / Self-Pay
$3,719

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,471

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $3,719 (1043%)
Insurance Median: $3,471 (974%)
Cash: $3,719 (1043% of Medicare)
Ins. Median: $3,471 (974% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 974% of the Medicare baseline (a markup of 874%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Donor Connect $104 - $1,319 29%
Aetna $107 - $4,760 30%
American Health $107 - $367 30%
Blue Cross Blue Shield $107 - $4,586 30%
Health Partners Of Nevada $107 - $352 30%
Health Plan Of Nevada $107 - $1,487 30%
Healthy U $107 - $291 30%
Humana $107 - $4,710 30%
Molina $107 - $4,710 30%
Selecthealth $107 - $4,229 30%
Southwest Behavioral Health $107 - $350 30%
UnitedHealthcare $107 - $4,710 30%
Triwest $342 96%
Intermountain Caregiver Plan $934 - $2,102 262%
Awh Connected $1,401 - $4,229 393%
Byu Athletics $1,401 - $4,214 393%
Campbell Scientific $1,401 - $3,471 393%
Deseret Mutual $1,401 - $4,229 393%
Emi $1,401 - $4,229 393%
Emi Health $1,401 - $4,229 393%
Franklin County $1,401 - $3,471 393%
Ifit $1,401 - $3,471 393%
Juniper Systems $1,401 - $3,471 393%
Lw Miller $1,401 - $3,471 393%
Managed Care Admin $1,401 - $4,229 393%
Pehp $1,401 - $4,710 393%
Prodegi Corp Benefit $1,401 - $4,214 393%
Tanner Llc $1,401 - $4,214 393%
Utah Tech $1,401 - $4,214 393%
Corporation Of The President $3,719 1043%
Corvel Corporation $3,719 1043%
Injury Care Of Nevada $3,719 1043%
Wcf Insurance $3,719 1043%
Altius Mhnet Behavioral Health $4,214 1182%
Byu Risk Management $4,214 1182%
Cigna $4,214 - $4,710 1182%
Global Excel $4,214 1182%
Medcare International $4,214 1182%
Utah Behavioral Health Network $4,214 1182%
Health Utah $4,710 1321%
Hygeia Corporation $4,710 1321%
Motivhealth $4,710 1321%
Springtide $4,710 1321%
Uofu $4,710 1321%
Wise Network $4,710 1321%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1400 North 500 East, Logan, UT 84341
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals